Uma análise de classes latentes de múltiplos comportamentos de risco para a saúde entre estudantes universitários/as portugueses/as
Barra lateral do artigo
Contido principal do artigo
Resumo
Tradicionalmente, a prevalência de comportamentos de risco para a saúde entre os/as estudantes universitários/as é elevada. Embora estes comportamentos sejam frequentemente analisados isoladamente, é provável a coocorrência de múltiplos comportamentos de risco. Neste estudo, realizou-se uma análise de classes latentes com dados tranversais de 840 estudantes portugueses/as (55.4% do sexo feminino) para explorar os padrões de múltiplos comportamentos de risco inseridos em sete dimensões comportamentais (consumo de álcool, tabagismo, alimentação não saudável, sedentarismo, práticas sexuais de risco, drogas ilícitas e práticas de automedicação). Adicionalmente, realizou-se uma regressão de classe latente para explorar os preditores (perceção de bem-estar e características sociodemográficas e académicas) para cada padrão comportamental. Emergiu um modelo de três classes com diferentes probabilidades de risco: Comportamentos de baixo risco (51.4%), Comportamentos de risco moderado (14.9%) e Comportamentos de elevado risco (33.7%). Os/as estudantes com melhores perceções de bem-estar e saúde apresentaram mais chances de pertencer à classe mais saudável. Os/as estudantes das classes de baixo e moderado risco apresentaram maiores chances de frequentarem o 1º ano, não terem uma relação amorosa e serem estudantes a tempo inteiro. Aqueles/as que não tinham mudado de residência aquando do ingresso no Ensino Superior e do sexo feminino apresentaram mais probabilidades de pertencer à classe mais saudável. Este estudo apresenta estratégias essenciais para a promoção da saúde entre os/as estudantes universitários/as, fornecendo insights cruciais para a concepção de intervenções eficazes de promoção da saúde, especialmente para direccionadas a grupos específicos de estudantes com padrões semelhantes de múltiplos comportamentos de risco.
Palavras-chave:
Downloads
Detalles do artigo
Referências
AFRASHTEH, Sima; GHAEM, Haleh & ABBASI-GHAHRAMANLOO, Abbas (2017). Clustering and combining pattern of high-risk behaviors among Iranian university students: A latent class analysis. Journal of Research in Health Sciences, 17(4), 00398. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189947/
ALVES, Regina F. (2022a). Knowledge, attitudes and health-related behaviors among Higher Education students: assessment and monitoring of a socioeducational intervention program in a non-formal context [Doctoral thesis, University of Minho]. https://hdl.handle.net/1822/75905
ALVES, Regina F. (2022b). The association between subjective well-being and risky behaviours in university students. Psihologijske Teme, 31(3), 565-583. https://doi.org/10.31820/pt.31.3.5
ALVES, Regina F. & PRECIOSO, José (2020). Knowledge, attitude and practice on healthy diet among university students in Portugal. International Journal of Nutrition Sciences, 5(2), 2-9. https://ijns.sums.ac.ir/article_46568.html
ALVES, Regina F. & PRECIOSO, José (2022). A influência dos pares no consumo de Substâncias Psicoativas entre estudantes universitários/as. Revista de Estudios e Investigación En Psicología y Educación, 9, 5-17. https://doi.org/10.17979/reipe.2022.9.0.8912
ALVES, Regina F.; PRECIOSO, José & BECOÑA, Elisardo (2020). Well-being and health perception of university students in Portugal: the influence of parental support and love relationship. Health Psychology Report, 8(2), 145-154. https://doi.org/10.5114/hpr.2020.94723
ALVES, Regina F.; PRECIOSO, José & BECOÑA, Elisardo (2021). Physical activity among Portuguese university students and its relation to knowledge and perceived barriers. Sportis. Scientific Journal of School Sport, Physical Education and Psychomotricity, 7(1), 25-42. https://doi.org/10.17979/sportis.2021.7.1.6924
BARRY, Adam E.; CHANEY, Beth H.; STELLEFSON, Michael L. & DODD, Virginia (2015). Evaluating the psychometric properties of the AUDIT-C among college students. Journal of Substance Use, 20(1), 1-5. https://doi.org/10.3109/14659891.2013.856479
BENNASAR-VENY, Miquel; YAÑEZ, Aina M.; PERICAS, Jordi; BALLESTER, Lluis; FERNANDEZ-DOMINGUEZ, Juan Carlos; TAULER, Pedro & AGUILO, Antoni (2020). Cluster analysis of health-related lifestyles in university students. International Journal of Environmental Research and Public Health, 17(5). https://doi.org/10.3390/IJERPH17051776
BLACK, Tara & STANTON, Alisa (2016, February 4). Final report on the development of the Okanagan Charter: An international charter for health promoting universities & colleges. International Conference on Health Promoting Universities and Colleges (7th: 2015). Kelowna, BC, Canada. https://doi.org/10.14288/1.0372504
BOWLING, Ann. (1998). Research methods in health : investigating health and health services. Open University Press.
CARTER, Ashlee C.; BRANDON, Karen Obremski & GOLDMAN, Mark S. (2010). The college and noncollege experience: A review of the factors that influence drinking behavior in young adulthood. Journal of Studies on Alcohol and Drugs, 71(5), 742-750. https://doi.org/10.15288/jsad.2010.71.742
CHAN, P., & SHEK, C. (2018). Latent class analysis of student artefacts. Proceedings of the 10th International Conference on Education Technology and Computers, 302-307. https://doi.org/10.1145/3290511.3290521
COLLINS, Linda M. & LANZA, Stephanie T. (2010). Latent class and latent transition analysis with applications in the social, behavioral, and health sciences. Wiley Series in Probability and Statistics. https://doi.org/10.1002/9780470567333
DAVOREN, Martin P.; DEMANT, Jakob; SHIELY, Frances & PERRY, Ivan J. (2016). Alcohol consumption among university students in Ireland and the United Kingdom from 2002 to 2014: a systematic review. BMC Public Health, 16(1), 173. https://doi.org/10.1186/s12889-016-2843-1
El ANSARI, Walid & BERG-BECKHOFF, Gabriele (2017). Country and gender-specific achievement of healthy nutrition and physical activity guidelines: Latent class analysis of 6266 university students in Egypt, Libya, and Palestine. Nutrients, 9(7), 738. https://doi.org/10.3390/nu9070738
EL ANSARI, Walid; SSEWANYANA, Derrick & STOCK, Christiane (2018). Behavioral health risk profiles of undergraduate university students in England, Wales, and Northern Ireland: A cluster analysis. Frontiers in Public Health, 6. https://doi.org/10.3389/FPUBH.2018.00120
GODIN, G. & SHEPHARD, R. J. (1997). Godin leisure-time exercise questionnaire. Medicine and science in sports and exercise, 29(6), 36-38. https://doi.org/10.1097/00005768-199706001-00009
HUTCHESSON, Melinda J.; DUNCAN, Mitch J.; OFTEDAL, Stina; ASHTON, Lee M.; OLDMEADOW, Christopher, KAY-LAMBKIN, Frances & WHATNALL, Megan C. (2021). Latent class analysis of multiple health risk behaviors among Australian university students and associations with psychological distress. Nutrients, 13(2), 425. https://doi.org/10.3390/nu13020425
HYSKA, Jolanda; MERSINI, Ehadu; MONE, Iris; BUSHI, Entela; SADIKU, Edite & HOTI, Kliti (2014). Assessment of knowledge, attitudes and practices about public health nutrition among students of the University of Medicine in Tirana, Albania. Southeastern European Journal of Public Health, 88, 1-8. https://doi.org/10.12908/SEEJPH-2014-01
JAMES, Erica; FREUND, Megan; BOOTH, Angela; DUNCAN, Mitch. J.; JOHNSON, Natalie; SHORT, Camille E.; WOLFENDEN, Luck; STACEY, Fiona G.; KAY-LAMBKIN, Frances & VANDELANOTTE, Corneel (2016). Comparative efficacy of simultaneous versus sequential multiple health behavior change interventions among adults: A systematic review of randomised trials. Preventive Medicine, 89, 211-223. https://doi.org/10.1016/j.ypmed.2016.06.012
JAO, Nancy C.; ROBINSON, Laura D.; KELLY, Peter J.; CIECIERSKI, Christina C. & HITSMAN, Brian (2019). Unhealthy behavior clustering and mental health status in United States college students. Journal of American College Health, 67(8), 790-800. https://doi.org/10.1080/07448481.2018.1515744
KABIR, Kourosh; BAHARI, Ali; HAJIZADEH, Mohammad; ALLAHVERDIPOUR, Hamid; TARRAHI, Mohammad J.; FAKHARI, Ali; ANSARI, Hossein & MOHAMMADPOORASL, Asghar (2018). Substance abuse behaviors among university freshmen in Iran: a latent class analysis. Epidemiology and Health, 40, e2018030. https://doi.org/10.4178/epih.e2018030
KANG, Joseph; CIECIERSKI, Christina Czart; MALIN, Emily L.; CARROLL, Allison J.; GIDEA, Marian; CRAFT, Lynette L.; SPRING, Bonnie & HITSMAN, Brian (2014). A latent class analysis of cancer risk behaviors among U.S. college students. Preventive Medicine, 64, 121-125. https://doi.org/10.1016/j.ypmed.2014.03.023
KWAN, Matthew; ARBOUR-NICITOPOULOS, Kelly P.; DUKU, Eric; & FAULKNER, Guy (2016). Patterns of multiple health risk-behaviours in university students and their association with mental health: application of latent class analysis. Policy and Practice, 36(8). https://doi.org/10.24095/hpcdp.36.8.03
LANZA, Stephanie T. & RHOADES, Brittany L. (2013). Latent class analysis: An alternative perspective on subgroup analysis in prevention and treatment. Prevention Science, 14(2), 157-168. https://doi.org/10.1007/s11121-011-0201-1
LANZA, Stephanie T.; SAVAGE, Jennifer S. & BIRCH, Leann L. (2010). Identification and prediction of latent classes of weight-loss strategies among women. Obesity, 18(4), 833-840. https://doi.org/10.1038/oby.2009.275
LAVADO, Elsa; CALADO, Vasco; & FEIJÃO, Fernanda (2020). ECATD-CAD 2019. Estudo sobre o consumo de álcool, tabaco, drogas e outros comportamentos aditivos e dependências: Portugal 2019. Serviço de Intervenção nos Comportamentos Aditivos e nas Dependências - SICAD. Disponível em: https://www.sicad.pt/PT/EstatisticaInvestigacao/EstudosConcluidos/Paginas/detalhe.aspx?itemId=221&lista=SICAD_ESTUDOS&bkUrl=/BK/EstatisticaInvestigacao/EstudosConcluidos
LASKA, Melissa Nelson; PASCH, Keryn E.; LUST, Katherine; STORY, Mary & EHLINGER, Ed (2009). Latent class analysis of lifestyle characteristics and health risk behaviors among college youth. Prevention Science, 10(4), 376-386. https://doi.org/10.1007/s11121-009-0140-2
MA, Cecilia M. & LAI, Catie C. (2018). Mental health profile and health-related behavior among Hong Kong Chinese university students. Health Psychology Open, 5(2), 205510291878686. https://doi.org/10.1177/2055102918786869
MACEDO, Tassia T. S.; MUSSI, Fernanda C.; SHEETS, Debra; CAMPOS, Ana C. P.; PATRÃO, Ana L.; FREITAS, Caren L. M. & PAIM, Melissa A. S. (2020). Lifestyle behaviors among undergraduate nursing students: A latent class analysis. Research in Nursing & Health, 43(5), 520-528. https://doi.org/10.1002/nur.22064
MATHUR, Charu; STIGLER, Melissa; LUST, Katherine & LASKA, Melissa (2014). A latent class analysis of weight-related health behaviors among 2- and 4-year college students and associated risk of obesity. Health Education & Behavior, 41(6), 663-672. https://doi.org/10.1177/1090198114537062
MOLENDIJK, Marc; MOLERO, Patricio; ORTUÑO SÁNCHEZ-PEDREÑO, Felipe; VAN DER DOES, Willem & ANGEL MARTÍNEZ-GONZÁLEZ, Miguel (2018). Diet quality and depression risk: A systematic review and dose-response meta-analysis of prospective studies. Journal of Affective Disorders, 226, 346-354. https://doi.org/10.1016/j.jad.2017.09.022
NAZAR, Gabriela; STIEPOVIC, Jasna & BUSTOS, Claudio (2019). Latent class analysis of lifestyle behavior among Chilean university students. International Journal of Health Promotion and Education, 57(2), 98-111. https://doi.org/10.1080/14635240.2018.1552534
NYLUND-GIBSON, Karen & CHOI, Andrew Young (2018). Ten frequently asked questions about latent class analysis. Translational Issues in Psychological Science, 4(4), 440-461. https://doi.org/10.1037/tps0000176
ODPHP - Office of Disease Prevention and Health Promotion. (2020). Healthy People 2020. Available in: https://wayback.archive-it.org/5774/20220413182850/https://www.healthypeople.gov/2020/
SANSCARTIER, Matthew D.; EDGERTON, Jason D. & ROBERTS, Lance W. (2018). A latent class analysis of gambling activity patterns in a Canadian university sample of emerging adults: Socio-demographic, motivational, and mental health correlates. Journal of Gambling Studies, 34(3), 863-880. https://doi.org/10.1007/s10899-017-9734-y
SCHUCH, Felipe B.; VANCAMPFORT, Davy; FIRTH, Joseph; ROSENBAUM, Simon; WARD, Philip B.; SILVA, Edson S.; HALLGREN, Mats; PONCE DE LEON, Antonio; DUNN, Andrea L.; DESLANDES, Andrea C.; FLECK, Marcelo P.; CARVALHO, Andre F., & STUBBS, Brendon (2018). Physical activity and incident depression: A meta-analysis of prospective cohort studies. American Journal of Psychiatry, 175(7), 631-648. https://doi.org/10.1176/appi.ajp.2018.17111194
TORQUATO, Sara C. R.; DA SILVA, Emilene F.; RODRIGUES, Aline R.; PIMENTA, Mayara V. T.; MOURA, Jayne R. A. & DA SILVA, Ana Roberta V. (2016). Sedentary lifestyle and metabolic disorders among university study / Sedentarismo e alterações metabólicas entre universitários / Estilo de vida sedentario y trastornos metabólicos entre la universidad. Revista de Enfermagem Da UFPI, 5(2), 16. https://doi.org/10.26694/reufpi.v5i2.5244
WING KWAN, Matthew Y.; BRAY, Steven R. & MARTIN GINIS, Kathleen A. (2009). Predicting Physical Activity of First-Year University Students: An Application of the Theory of Planned Behavior. Journal of American College Health, 58(1), 45-55. https://doi.org/10.3200/JACH.58.1.45-55
WORLD HEALTH ORGANIZATION. (2008). Advocacy, communication and social mobilization for TB control: a guide to developing knowledge, attitude and practice surveys. https://apps.who.int/iris/handle/10665/43790
WORLD HEALTH ORGANIZATION. (2020). Healthy diet. https://www.who.int/news-room/fact-sheets/detail/healthy-diet
XU, Rixiang; MU, Tingyu; WANG, Guan; SHI, Jing; WANG, Xin & NI, Xiaoli (2019). Self-medication with antibiotics among university students in LMIC: A systematic review and meta-analysis. The Journal of Infection in Developing Countries, 13(08), 678-689. https://doi.org/10.3855/jidc.11359